<%@ Page Language="VB" MasterPageFile="~/MasterPage.master" AutoEventWireup="false" 
CodeFile="Add_Referral_frmSearch.aspx.vb" Inherits="Client_Servicing_Add_Referral_frmSearch" title="Add Client Issue" %>
<%@ Register Assembly="AjaxControlToolkit" Namespace="AjaxControlToolkit" TagPrefix="ajaxToolkit" %>

<asp:Content ID="Content1" ContentPlaceHolderID="ContentPlaceHolder1" Runat="Server">

    <table border="0" cellpadding="0" cellspacing="0" width="800">
        <tr><td style="font-size: 3px;height: 5px;"></td></tr>
    </table>

    <table border="0" cellpadding="0" cellspacing="0" width="800">
        <tr>
        <td align="right" style="font-weight: bold; font-size: 10pt; font-family: Arial; color: #d63007;">
        Add New Referral</td>
        </tr>
    </table>

    <table border="0" cellpadding="0" cellspacing="0" width="800">
        <tr><td style="font-size: 3px; background-color: #105BA4; height: 3px;"></td></tr>
    </table>

    <br />

    <table border="0" cellpadding="0" cellspacing="0" width="800" style="background-color: #f2f3f5">
            
    <tr><td style="width: 800px">

        <table border="0" cellpadding="0" cellspacing="0" width="800" style="height: 35px">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px;" align="left">
                    </td>
                <td style="width: 290px" align="left">
                    </td>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px;" align="left">
                    &nbsp;Date:</td>
                <td align="left" style="width: 290px">
                    <asp:TextBox ID="Date_txt" runat="server" Width="250px"></asp:TextBox></td>
            </tr>
        </table>
            
    </td></tr>
    
    <tr><td style="width: 800px">

        <table border="0" cellpadding="0" cellspacing="0" width="800" style="height: 35px">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 35px;" align="left">
                    &nbsp;Name:</td>
                <td style="width: 290px; height: 35px;" align="left">
                    <asp:DropDownList ID="Name_cmb" runat="server" Width="250px">
                    </asp:DropDownList></td>
                <td style="font-size: 10pt; font-family: Verdana; width: 110px; height: 35px;" align="left">
                    &nbsp;Issue Status:</td>
                <td align="left" style="width: 290px; height: 35px;"><asp:DropDownList ID="DropDownList1" runat="server" Width="256px">
                </asp:DropDownList></td>
            </tr>
        </table>
            
    </td></tr>

    <tr><td style="width: 800px; height: 59px;">

        <table border="0" cellpadding="0" cellspacing="0" width="800" style="height: 35px">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 106px;" align="left">
                    &nbsp;Remarks:</td>
                <td style="width: 590px" align="left">
                    <asp:TextBox ID="Remarks_txt" runat="server" TextMode="MultiLine" Width="650px"></asp:TextBox></td>
            </tr>
        </table>
            
    </td></tr>

    <tr><td style="width: 800px; height: 54px;">

        <table border="0" cellpadding="0" cellspacing="0" width="800" style="height: 35px">
            <tr>
                <td style="width: 400px; height: 24px;"></td>
                <td style="height: 24px">
                    <asp:Button ID="Save_btn" runat="server" Text="Save" BackColor="Gainsboro" Font-Names="Verdana" Width="104px" />
                </td>
                <td style="height: 24px">
                    <asp:Button ID="Cancel_btn" runat="server" Text="Cancel" BackColor="Gainsboro" Font-Names="Verdana" Width="112px" />
                </td>
            </tr>
        </table>
            
    </td></tr>

    </table>

</asp:Content>

